脑膜中动脉栓塞联合钻孔引流术及药物治疗复发性慢性硬脑膜下血肿一例并文献复习OA
Middle meningeal artery embolization combined with burr hole drainage and drug therapy for recurrent chronic subdural hematoma:a case report and literature review
慢性硬脑膜下血肿(CSDH)是神经外科常见疾病,钻孔引流术为传统经典治疗方式,但术后复发率较高.该文报道1 例经钻孔引流术联合口服他汀类药物治疗后复发的 CSDH 患者,采用脑膜中动脉栓塞联合钻孔引流术并辅以口服他汀类药物治疗后再次复发,最终加用小剂量激素类药物治疗后血肿完全吸收.该文结合相关文献对联合治疗方案在复发性 CSDH 中的应用价值、治疗机制及注意事项进行了探讨,以期为临床治疗复发性 CSDH 提供参考.
Chronic subdural hematoma(CSDH)is a common neurosurgical disease.Burr hole drainage is the traditional treatment method for treating CSDH,but the postoperative recurrence rate is relatively high.This article reported a patient with CSDH recurrence after burr hole drainage combined with oral statin therapy.The patient then underwent middle meningeal artery embolization combined with burr hole drainage and adjuvant oral statin therapy,but experienced a second recurrence after treatment.The hematoma was completely absorbed after adjunctive low-dose corticosteroid therapy.Combined with relevant literature,this article discussed the application value,therapeutic mechanism,and precautions of the combined treatment regimen for recurrent CSDH,aiming to provide a reference for the clinical treatment of recurrent CSDH.
李盛善;李树志;刘国华;张勇;柴家伟
261500 山东省高密市中医院神经外科261500 山东省高密市中医院神经外科261500 山东省高密市中医院神经外科261500 山东省高密市中医院神经外科261500 山东省高密市中医院神经外科
血肿,硬膜下,慢性脑膜中动脉栓塞激素他汀钻孔引流术
Hematoma,subdural,chronicMiddle meningeal artery embolizationCorticosteroidStatinBurr hole drainage
《中国脑血管病杂志》 2026 (4)
269-272,4
潍坊市卫生健康委员会科研项目(WFWSJK-2023-188)
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